Individual provider Active NPI

Jordan Matthew Snead

  • Physician Assistant
  • Gray, TN
National Provider Identifier
1760264188
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2103 Forest Dr Ste 5
Gray, TN 37615-8423
Phone
(423) 794-3142
NPI assigned
Oct 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13528 NC
Physician Assistant 363A00000X PENDING TN
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2103 Forest Dr Ste 5
Gray, TN 37615-8423

Mailing address

1326 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 673-5000

Other practice location 1

1342 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 673-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109000927 TN Practitioner - Physician Assistant 3971950155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Pain Specialists, PCGroup PAC ID 7214167733, 12 clinicians
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

1326 Papermill Pointe Way
Knoxville, TN 37909-1903

1336 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 558-3476

1342 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 673-5000

2103 Forest Dr
Suite 5
Gray, TN 37615-8423
Phone (423) 794-3142

301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
45.77
Improvement activities
40
Cost
75.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGTNMDOccupational Therapy Assistant
0010-13528NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pain Specialists, PC CurrentSince Oct 20, 2023 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Mar 30, 2026 Accepting new patients
Associated Pain Specialists, PC CurrentSince Oct 20, 2023 Accepting new patients

Locations

2103 Forest Dr
Ste 5
Gray, TN 37615
Phone (423) 477-2885

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

301 Med Tech Pkwy
Ste 240
Johnson City, TN 37604
Phone (423) 794-5520

1342 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 219-3506

1326 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 219-3506

1907 W Morris Blvd
Ste A200
Morristown, TN 37813
Phone (423) 522-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1760264188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-673-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 FOREST DR STE 5",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376158423",
            "telephone_number": "423-794-3142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1342 Papermill Pointe Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091903",
            "country_code": "US",
            "telephone_number": "865-673-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNEAD",
        "first_name": "JORDAN",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13528",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, TN

Sources for this page

Verify at the official NPI Registry.